Burns Clinical Trial
Official title:
Sperry Micro-Coring System: Automated Full-Thickness Skin Microcolumns in Dermal Regeneration Templates for 'Donor-Free' Skin Renewal
The objective of this study is to validate the proof of concept regarding the approach of manual implantation of full-thickness skin microcolumns (FTSMs) into a dermal regeneration template as coverage for open wounds without creating an additional donor scar and while also capitalizing on the wound healing benefits offered by full-thickness skin grafts.
After enrollment and completion of informed consent, the patient will be considered an enrolled patient. Up to 10 patients with open wounds of the torso or extremities requiring skin grafting will be enrolled into this study. The study area will be 25 to 100 cm2. If a patient has multiple non-contiguous wounds that qualify for the study, up to two areas may be enrolled into the study. All other non-study areas will be treated per standard of care procedures/per the operating physician's discretion. The FTSMs will be harvested under sterile conditions in the operating room with a 1.5mm standard biopsy punch from a donor site deemed appropriate by the operating physician based on available healthy tissue; most commonly, the site is located on the thigh. Donor site location and rationale for this decision will be documented. Following FTSM harvest, they will be manually implanted into Integra® by experienced study personnel in the operating room. Using forceps, the FTSM will be inserted epidermis side up through the dermal regeneration matrix side with the silicone side being left in place. The FTSM within the dermal regeneration template will then be applied to the open wound and covered with a non-occlusive dressing. Additional secondary dressings of the physician's choice will also be utilized. Wounds will be assessed at the first dressing takedown while hospitalized by the subjects' medical teams and study members. Study members will be notified by hospital staff of any concerns including but not limited to infection, increased pain, or wound break-down. Study members will assess wounds at least once weekly for one month. ;
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